关节镜Trillat手术后的甲下缩和功能
Arnaud Gonnachon1, Bastien Michon1, Timothée Savoye-Laurens1
1Service d'Orthopédie, CHU F. Mitterrand Dijon-Bourgogne, 12 Bd Maréchal de Lattre de Tassigny, 21000 Dijon, France.
Orthopaedics & traumatology, surgery & research : OTSR
|July 26, 2024
概括
关节镜Trillat手术用于肩部不稳定导致小 subscapularis 肌肉缩在6个月,但没有力量的损失在1年. 这与Latarjet程序形成鲜明对比,后者往往导致持续的内部旋转弱点.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肩部不稳定性研究研究
背景情况:
- 肩部不稳定的Latarjet手术与持续的内部旋转强度缺陷有关.
- 关节镜Trillat手术通过避免 subscapularis 肌肉分裂提供了一个潜在的替代方案.
研究的目的:
- 评估关节镜Trillat手术对旋转手腕肌肉形态和强度的影响.
- 确定关节镜Trillat手术是否会导致 subscapularis 缩或力量缺陷.
主要方法:
- 追溯研究58名患者进行关节镜Trillat手术,以治疗慢性前肩部不稳定.
- CT扫描评估了旋转手套肌肉截面面积 (CSA) 和脂肪透 (MMA) 在基线和6个月.
- 内部和外部旋转器的异动力学强度测试是在手术后1年进行的.
主要成果:
- 在6个月后, subscapularis肌肉CSA显著下降5.3%.
- 增加的 subscapularis MMA 和减少的外部旋转器 MMA 表示肌肉变化.
- 在1年的随访期间,内部或外部旋转器中没有发现显著的强度缺陷.
结论:
- 关节镜Trillat手术的结果是最小的 subscapularis 肌肉缩,没有长期的力量损害.
- 这一发现表明,关节镜Trillat手术是一种可行的选择,可以在不损害旋转手套强度的情况下稳定肩膀.
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